Provider Demographics
NPI:1659453512
Name:PERLMAN, STEPHEN MARC (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MARC
Last Name:PERLMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 N BROADWAY STE T2
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-2309
Mailing Address - Country:US
Mailing Address - Phone:914-993-9125
Mailing Address - Fax:914-831-0640
Practice Address - Street 1:2 N BROADWAY STE T2
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-2309
Practice Address - Country:US
Practice Address - Phone:914-993-9125
Practice Address - Fax:914-831-0640
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007100-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX66171Medicare ID - Type UnspecifiedMEDICARE #